Cluster cross-over randomised trial of paediatric airway management devices in the simulation lab and operating room among paramedic students.

Objectives: The objective of this study was to compare paediatric emergency airway management strategies in the simulation lab and operating room environments.

Methods: This was a two-part cluster cross-over randomised trial including simulation lab and operating room environments conducted between January 2017 and June 2018 in Portland, Oregon, USA. In simulated infant cardiac arrests, paramedic students placed an endotracheal tube, an i-gel or a laryngeal mask airway in random order.

Randomized trial of acupuncture with antiemetics for reducing postoperative nausea in children.

Background: Postoperative nausea and vomiting (PONV) is common after tonsillectomy in children. There is evidence that perioperative acupuncture at the pericardium 6 (P6) point is effective for preventing PONV in adults. Our goal was to determine if intraoperative acupuncture at the P6 point, in addition to usual antiemetics, is more effective than antiemetics alone in preventing PONV in children.

Pain and Analgesia During Labor and Delivery Between 16 0/7 and 22 6/7 Weeks of Gestation.

Objective: To describe severity of pain during labor at previable estimated gestational age and to determine the effectiveness of various methods of analgesia in this population.

Methods: In this retrospective review of the records of women undergoing induction or augmentation of labor between 16 0/7 and 22 6/7 weeks of gestation, we examined pain scores (numeric rating scale 0-10) documented throughout labor and analgesia method (none, systemic, or neuraxial). We compared relevant patient and labor characteristics such as gestational age, fetal weight, time interval from induction to delivery as well as pain data including analgesia type and pain scores before and after analgesia.